Vital Signs

Question 1

preferred temp. site for NB-3mo

Answer 1

rectal

Question 2

preferred temp. site for 3mo-3yr

Answer 2

rectal, ear, axillary

Question 3

preferred temp. site for 4-5yr

Answer 3

rectal, ear, axillary, oral

Question 4

preferred temp. site for 5yr and up

Answer 4

oral, ear, axillary

Question 5

temp a dots are for ____ use and need to be left in the site for ____

Answer 5

single use and need to be left in the site for 60s

Question 6

normal oral temp for an adult

Answer 6

97-99 F

Question 7

normal oral temp for an infant

Answer 7

97-100.3 F

Question 8

_____ temps take longer than oral

Answer 8

axillary

Question 9

normal axillary temp ranges are

Answer 9

1 F less than oral

Question 10

tympanic temps read…

Answer 10

infrared heat from ear drum

Question 11

normal temps for tympanic are

Answer 11

same as oral

Question 12

if under 1yr pull ear ____ for tympanic temp

Answer 12

backward

Question 13

if over one year pull ear ____ for tympanic temp

Answer 13

back and up

Question 14

for rectal temp have pt in _____ position

Answer 14

sim’s position (lateral decubitus)

Question 15

for rectal temp insert the probe about ___ for adults

Answer 15

1 in

Question 16

normal adult HR

Answer 16

60-100 BPM

Question 17

normal NB HR

Answer 17

70-190 BPM

Question 18

normal infant HR

Answer 18

80-160 BPM

Question 19

normal toddler HR

Answer 19

80-130 BPM

Question 20

__ pulse is the most common

Answer 20

radial

Question 21

normal RR in adults

Answer 21

6-20 breaths/min

Question 22

three types of accessory muscle use

Answer 22

nasal flaring, neck muscles, intracoastal muscles

Question 23

bell of the stethoscope is used for _____

Answer 23

deep tones

Question 24

3 things the bell of the stethoscope can hear

Answer 24

heart murmurs, bruits, s1 and s2 heart sounds

Question 25

with the bell of the stethoscope you press

Answer 25

softly

Question 26

use the diaphragm of the stethoscope to hear

Answer 26

higher pitched sounds

Question 27

two sounds you use the diaphragm of the stethoscope to hear

Answer 27

BP and lung sounds

Question 28

with the diaphragm of the stethoscope you should push ___

Answer 28

as hard as you need to (within reason)

Question 29

for apical pulse you first ID the ____ with your ____

Answer 29

PMI with your hand

Question 30

if you are having trouble locating the apical pulse have the patient

Answer 30

lay on their left side or lean forward

Question 31

pulse oximeters measure the absorption of ____ and ____ by _____

Answer 31

red and infrared light by pulsatile blood

Question 32

pulse oximeters have good validity with

Answer 32

arterial blood gas

Question 33

pulse oximeter reading can be impaired by

Answer 33

Hgb levels

Question 34

pulse oximeters detect only ___ o2, not ____

Answer 34

only local 02, not systemic

Question 35

with pulse ox readings you want a site that is

Answer 35

pink, warm, dry, has good circulation/pulses, and has minimal extraneous light

Question 36

oxygenated blood absorbs ___ light

Answer 36

660 nm, red light

Question 37

deoxygenated blood absorbs ___ light

Answer 37

940 nm, infrared light